Flight Bridge FPC Practice Exam
Questions and Answers22
A patient is experiencing left ventricular diastolic failure. What is the focus of first-line therapy? -
ANSWERS -Augmentation of left ventricular clearing
A patient sustained significant trauma after a motor vehicle collision. They were initially
unresponsive and demonstrated increasing respiratory difficulty and were intubated. Before
intubation, their BP was 116/70 and HR 98. They respond to painful stimuli with decorticate
posturing on the right side. Reassessment after intubation shows a BP of 170/52 and HR 60.
What do you suspect? - ANSWERS -Cushing's response
A patient is presenting with non-specific chest pressure that began approximately two hours
prior to arrival. Their blood pressure in the left arm measures 204/106. The blood pressure is
verified in their right arm with a measurement of 174/76. Which diagnosis should immediately
be suspected? - ANSWERS -Aortic Dissection
When using a pressure-controlled mode of delivery, what can be expected? - ANSWERS -The
ventilator triggers until a pre-set pressure limit is reached
A patient who ingested an entire bottle of acetaminophen (Tylenol) is now complaining of right
upper quadrant pain. Based on the presentation, when did this patient most likely ingest this
drug? - ANSWERS -Within the last 24-72 hours
A patient complaining of chest pain was noted to have a drop in their blood pressure after
administration of nitroglycerin. The patient is diaphoretic and complaining of pain as 10/10. A
12-lead ECG reveals ST elevation in leads III, and aVF, and reciprocal changes noted
predominantly in lead aVL. What type of myocardial infarction (MI) is suspected? - ANSWERS -
Inferior wall MI
,FHR sinusoidal pattern - ANSWERS -A sinusoidal pattern can occur due to significant anemia and
severe fetal distress. During contraction, the heart rate will not rise concurrently. Oxygen
carrying capacity is deficient, and hypoxia ensues. Emergent C-section is the treatment of
choice.
Serum osmolality - ANSWERS -measure of the balance between water (plasma) and the solutes
dissolved in it. It is an indicator showing dehydration or overhydration. Normal is 275-295
mOsm/kg. Elevated levels occur in the presence of dehydration. All other instances would cause
a decrease in the serum osmolality level.
A 16-year-old sustained an aortic arch tear during a motor vehicle collision, which is commonly
associated with which of the following? - ANSWERS -Acceleration/deceleration injury
All intra-aortic balloon pump (IABP) systems use helium as the driving gas because of which of
the following characteristics? - ANSWERS -Low density
What is the formula for determining a mean arterial pressure (MAP)? - ANSWERS -MAP = [SBP +
(2 x DBP)] / 3
The primary treatment in reversing malignant hyperthermia is what medication? - ANSWERS -
Dantrolene
The following situations would require an asthmatic patient to be intubated and mechanically
ventilated - ANSWERS -A decline in the level of consciousness, Respiratory acidosis,
Hypoventilation secondary to muscle fatigue
A patient has sustained significant head, chest and abdominal trauma from a motor vehicle
collision. They have received five units of packed red blood cells thus far. They continue to bleed
profusely from all wounds despite direct pressure to control bleeding secondary to suspected
disseminated intravascular coagulation (DIC). What treatment do you expect to administer? -
ANSWERS -Platelets, cryoprecipitate and fresh frozen plasma
, What protective clothing does CAMTS require that is pertinent to safe operations? - ANSWERS -
Boots
Fractures of the 1st-3rd ribs should indicate a high index of suspicion for which injury? -
ANSWERS -Aortic disruption
The patient suffering from Brown-Sequard syndrome presents with what? - ANSWERS -
ipsilateral paralysis below the level of the lesion, positive Babinski sign ipsilateral to the lesion,
ipsilateral loss of tactile discrimination, vibratory, and position sensation below the level of the
lesion, and contralateral loss of pain and temperature sensation.
Identify the medication with bronchodilating properties. - ANSWERS -Ketamine
A patient who sustained extensive electrical burns is being transferred. Upon entering the room,
there is brown urine noted in the foley bag, and myoglobinuria on the urinalysis. To prevent the
development of acute tubular necrosis and further renal failure, what is the anticipated
treatment? - ANSWERS -Lactated Ringer's, sodium bicarbonate, and mannitol
The flight crew's shift just began and they received in briefing that they have marginal visual
flight rules (VFR) weather. Approximately two hours later, they are toned for a scene flight. They
are given a distance and heading of 20 miles and 280 degrees. The pilot says that the current
weather conditions are 800' and 1 mile. What is the best response? - ANSWERS -Decline the
flight because this is lower than the FAA local VFR weather minimums
While transporting a patient in the back of an ambulance using lights and sirens, what is the
biggest danger to the crew, and the patient, during the transport? - ANSWERS -Intersections
The team is called to transport a patient who underwent a heart transplant approximately eight
hours ago. Upon assessment, they are noted to be pale, cool, and clammy to the touch. They
appear anxious but are alert and awake. Assessment reveals jugular vein distention and diffuse
Questions and Answers22
A patient is experiencing left ventricular diastolic failure. What is the focus of first-line therapy? -
ANSWERS -Augmentation of left ventricular clearing
A patient sustained significant trauma after a motor vehicle collision. They were initially
unresponsive and demonstrated increasing respiratory difficulty and were intubated. Before
intubation, their BP was 116/70 and HR 98. They respond to painful stimuli with decorticate
posturing on the right side. Reassessment after intubation shows a BP of 170/52 and HR 60.
What do you suspect? - ANSWERS -Cushing's response
A patient is presenting with non-specific chest pressure that began approximately two hours
prior to arrival. Their blood pressure in the left arm measures 204/106. The blood pressure is
verified in their right arm with a measurement of 174/76. Which diagnosis should immediately
be suspected? - ANSWERS -Aortic Dissection
When using a pressure-controlled mode of delivery, what can be expected? - ANSWERS -The
ventilator triggers until a pre-set pressure limit is reached
A patient who ingested an entire bottle of acetaminophen (Tylenol) is now complaining of right
upper quadrant pain. Based on the presentation, when did this patient most likely ingest this
drug? - ANSWERS -Within the last 24-72 hours
A patient complaining of chest pain was noted to have a drop in their blood pressure after
administration of nitroglycerin. The patient is diaphoretic and complaining of pain as 10/10. A
12-lead ECG reveals ST elevation in leads III, and aVF, and reciprocal changes noted
predominantly in lead aVL. What type of myocardial infarction (MI) is suspected? - ANSWERS -
Inferior wall MI
,FHR sinusoidal pattern - ANSWERS -A sinusoidal pattern can occur due to significant anemia and
severe fetal distress. During contraction, the heart rate will not rise concurrently. Oxygen
carrying capacity is deficient, and hypoxia ensues. Emergent C-section is the treatment of
choice.
Serum osmolality - ANSWERS -measure of the balance between water (plasma) and the solutes
dissolved in it. It is an indicator showing dehydration or overhydration. Normal is 275-295
mOsm/kg. Elevated levels occur in the presence of dehydration. All other instances would cause
a decrease in the serum osmolality level.
A 16-year-old sustained an aortic arch tear during a motor vehicle collision, which is commonly
associated with which of the following? - ANSWERS -Acceleration/deceleration injury
All intra-aortic balloon pump (IABP) systems use helium as the driving gas because of which of
the following characteristics? - ANSWERS -Low density
What is the formula for determining a mean arterial pressure (MAP)? - ANSWERS -MAP = [SBP +
(2 x DBP)] / 3
The primary treatment in reversing malignant hyperthermia is what medication? - ANSWERS -
Dantrolene
The following situations would require an asthmatic patient to be intubated and mechanically
ventilated - ANSWERS -A decline in the level of consciousness, Respiratory acidosis,
Hypoventilation secondary to muscle fatigue
A patient has sustained significant head, chest and abdominal trauma from a motor vehicle
collision. They have received five units of packed red blood cells thus far. They continue to bleed
profusely from all wounds despite direct pressure to control bleeding secondary to suspected
disseminated intravascular coagulation (DIC). What treatment do you expect to administer? -
ANSWERS -Platelets, cryoprecipitate and fresh frozen plasma
, What protective clothing does CAMTS require that is pertinent to safe operations? - ANSWERS -
Boots
Fractures of the 1st-3rd ribs should indicate a high index of suspicion for which injury? -
ANSWERS -Aortic disruption
The patient suffering from Brown-Sequard syndrome presents with what? - ANSWERS -
ipsilateral paralysis below the level of the lesion, positive Babinski sign ipsilateral to the lesion,
ipsilateral loss of tactile discrimination, vibratory, and position sensation below the level of the
lesion, and contralateral loss of pain and temperature sensation.
Identify the medication with bronchodilating properties. - ANSWERS -Ketamine
A patient who sustained extensive electrical burns is being transferred. Upon entering the room,
there is brown urine noted in the foley bag, and myoglobinuria on the urinalysis. To prevent the
development of acute tubular necrosis and further renal failure, what is the anticipated
treatment? - ANSWERS -Lactated Ringer's, sodium bicarbonate, and mannitol
The flight crew's shift just began and they received in briefing that they have marginal visual
flight rules (VFR) weather. Approximately two hours later, they are toned for a scene flight. They
are given a distance and heading of 20 miles and 280 degrees. The pilot says that the current
weather conditions are 800' and 1 mile. What is the best response? - ANSWERS -Decline the
flight because this is lower than the FAA local VFR weather minimums
While transporting a patient in the back of an ambulance using lights and sirens, what is the
biggest danger to the crew, and the patient, during the transport? - ANSWERS -Intersections
The team is called to transport a patient who underwent a heart transplant approximately eight
hours ago. Upon assessment, they are noted to be pale, cool, and clammy to the touch. They
appear anxious but are alert and awake. Assessment reveals jugular vein distention and diffuse
